What the treatment builds
The patient in this video returned for a second session of male girth enhancement using Bellafill, a regenerative filler that stimulates collagen over time. The result from his first session was visible: not only girth, but a small gain in length as well, because Dr. Emer places support in the upper region near the base where the ligament connects.
This session layered more filler to continue building thickness, followed by a PRP injection (platelet-rich plasma with exosomes and Botox) directly into the shaft and base to stimulate blood flow and healing, and then shockwave therapy to even out the material and promote circulation.
Why the skin thickens and what that means
Bellafill builds collagen, and that means the skin will thicken and may feel lumpy or firm at first. Dr. Emer explains that this is normal and expected: the granulomatous response is what creates the result. The material smooths over time, and shockwave therapy helps even out any irregularities right after injection.
Swelling and redness are not the goal, but firmness and thickening are. That is how the result holds and why the treatment works.
The PRP shot and shockwave therapy
After the filler is placed, Dr. Emer injects PRP with exosomes and Botox directly into the base and down the shaft. This stimulates blood flow, supports healing, and reduces the risk of complications. The injection goes into the corpus cavernosum, the main structure responsible for blood flow during erection.
Shockwave therapy follows immediately. The device delivers focused energy to the treated area to promote circulation, break up any early irregularities in the filler, and support the healing process. Dr. Emer uses it aggressively to ensure the material settles evenly.
Who this fits and what else is available
This approach fits men who want girth and some length support without an implant. For men with a retractable penis or those who want more length in addition to girth, Dr. Emer also offers penile implants, which can be combined with filler if needed.
Candidacy, expectations and the right combination of treatments are covered in consultation.
